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體檢信息系統與醫院信息的流轉
- 2023-01-04
- http://www.cnjinxinmweb.cn/ 原創
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The link between physical examination information system and his system
由于醫院體檢信息是獨立的數據庫，同時根據醫院的要求以及數據管理上的一致性，體檢信息系統的信息必須要能在HIS數據庫中體現出來。具體體現在以下幾個方面：
As the medical examination information of the hospital is an independent database, and according to the requirements of the hospital and the consistency of data management, the information of the medical examination information system must be reflected in the HIS database. It is embodied in the following aspects:
1）病人的基本信息。病人來體檢中心登記，錄入病人的基本信息，這時體檢信息系統在保存數據的同時還要存取一份數據至HIS數據庫中，這樣在醫院數據中病人主索引記錄也就存在了體檢信息中的數據，在日后進行數據統計，例如工作量統計中就能保持數據的準確性。
1) Basic information of the patient. The patient registers in the physical examination center and enters the basic information of the patient. At this time, the physical examination information system also accesses a copy of the data to the HIS database while saving the data. In this way, the patient master index record in the hospital data also contains the data in the physical examination information, which can be kept accurate in future data statistics, such as workload statistics.
2）檢查與檢驗申請信息。病人在體檢系統中登記了檢查與檢驗的申請信息，在醫院中，進行檢驗的科室是臨檢中心，進行檢查的科室是放射科，檢驗與檢查的申請信息必須存儲到LIS和PACS信息系統中。LIS和PACS從HIS數據庫中相應的表中去提取數據，然后得出的結果再回傳給HIS中相應的結果表中。鑒于醫院的現有工作模式與數據流向以及數據庫間規范與一致的問題，體檢信息系統中登記了相應的申請信息以后，同時將數據發送到HIS數據中，LIS與PACS再從HIS數據庫中提取信息，得到的結果回傳給HIS以后，體檢信息系統再從HIS中去提取回傳的數據。
2) Inspection and inspection request information. The patient has registered the application information of examination and examination in the physical examination system. In the hospital, the department conducting the examination is the clinical examination center, and the department conducting the examination is the radiology department. The application information of examination and examination must be stored in LIS and PACS information systems. LIS and PACS extract data from the corresponding tables in the HIS database, and then the results are returned to the corresponding result tables in HIS. In view of the existing working mode and data flow of the hospital, as well as the standardization and consistency between databases, after registering the corresponding application information in the medical examination information system, the data will be sent to the HIS data at the same time. LIS and PACS will extract the information from the HIS database. After the results are returned to HIS, the medical examination information system will extract the returned data from HIS.
3）收費信息。體檢信息系統中的收費項目必須與HIS中價表的數據保持一致，一旦HIS數據庫中價表信息發生變化，相應的體檢信息系統中的價表信息也要隨之改變。在體檢信息系統中生成的收費信息也必須回傳至HIS數據庫中利于醫院財務部門統計。由于收費信息涉及到結賬等信息，在HIS中與費用相關的數據比較復雜，我院應用HIS的收費程序去進行收費。收費完成后標記一個收費完成標識，體檢信息系統獲得這個標識后再進行病人進行體檢流程服務。
3) Charging information. The charging items in the medical examination information system must be consistent with the price list data in HIS. Once the price list information in HIS database changes, the price list information in the corresponding medical examination information system will also change. The charging information generated in the physical examination information system must also be returned to the HIS database for the hospital financial department to make statistics. As the charging information involves information such as settlement, and the data related to fees in HIS is relatively complex, our hospital applies HIS charging procedures to charge. After the charging is completed, a charging completion mark will be marked, and the physical examination information system will carry out the physical examination process service for patients after obtaining this mark.
4）病人就診記錄信息。病人在體檢中心的一次體檢記錄，對醫院而言，相當于一次門診工作量，為了更好的統計工作量，做好統計決策工作，病人的每一次體檢記錄映射到HIS數據庫中的一次就診信息。這樣也就保證了數據的一致性。
4) Patient visit record information. A physical examination record of a patient in the physical examination center is equivalent to an outpatient workload for the hospital. In order to better count the workload and make statistical decisions, each physical examination record of a patient is mapped to a visit information in the HIS database. This also ensures data consistency.
2.2體檢信息系統與LIS系統的鏈接
2.2 Link between physical examination information system and LIS system
醫院所有的信息都要存儲到HIS數據庫中去，所以檢驗申請信息要先傳送給HIS數據庫，LIS再從HIS數據庫中提取走相關信息，待檢驗結果出來后，回傳給HIS數據庫。體檢信息系統在這里建有一個LIS接口模塊，在后臺服務器上運行去監控回傳的數據，一旦發現有體檢中心的結果數據，及時提取保存，也實現了數據的實時性。
All the information of the hospital shall be stored in the HIS database, so the inspection application information shall be transmitted to the HIS database first, and then the LIS shall extract the relevant information from the HIS database. After the inspection results are obtained, they shall be returned to the HIS database. The physical examination information system has a LIS interface module built here, which runs on the background server to monitor the returned data. Once the result data of the physical examination center is found, it can be extracted and saved in time, which also realizes the real-time data.
2.3體檢信息系統與PACS系統的鏈接
2.3 Link between medical examination information system and PACS system
HIS與PACS得鏈接基本類似，但是由于PACS存取的是大量的圖片信息，在保證數據流程不變的情況下，PACS的影象信息仍舊存在于原PACS數據庫中，只有檢查的文字結果信息回傳至體檢信息系統。在體檢報告中最后所附的影像圖片仍舊來源于PACS信息系統。
The links of HIS and PACS are basically similar. However, since PACS accesses a large amount of picture information, the image information of PACS still exists in the original PACS database under the condition that the data flow remains unchanged, and only the text result information of the check is returned to the medical examination information system. The images attached at the end of the physical examination report are still from the PACS information system.
3總結
3 Summary
該文對檢信息系統與我院HIS系統，LIS系統，PACS系統之間的數據融合，數據傳輸，業務流程進行剖析，分析了系統之間的關系以及實現方法。各個系統之間數據傳輸與交互的原則就是以醫院HIS系統為基礎，以HIS系統為中間媒介，各個系統之間通過HIS數據庫來進行交互，這樣既保證了數據的標準性與一致性，也保證了信息傳輸的可行性，同時將各個系統之間的信息交互的矛盾轉化到各系統與HIS之間的矛盾，簡化了矛盾，也實現了各系統之間的獨立性，減少了其互相依賴性，極大的利于后期的維護。
This paper analyzes the data fusion, data transmission and business process between the inspection information system and our HIS system, LIS system and PACS system, and analyzes the relationship between the systems and the implementation method. The principle of data transmission and interaction between various systems is to take HIS system of the hospital as the basis, HIS system as the intermediary, and all systems interact through HIS database, which not only ensures the standardization and consistency of data, but also ensures the feasibility of information transmission. At the same time, the contradiction of information interaction between various systems is transformed into the contradiction between various systems and HIS, simplifying the contradiction, It also realizes the independence between systems, reduces their interdependence, and is greatly conducive to later maintenance.
參考文獻：
reference:
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